Research in Implementation Science and eHealth Group (RISe), University of Sydney, Sydney, NSW.
The Charles Perkins Centre, The University of Sydney, Sydney, NSW.
Med J Aust. 2019 Apr;210 Suppl 6:S17-S21. doi: 10.5694/mja2.50022.
To learn the attitudes of health professionals, health informaticians and information communication technology professionals to using data in electronic health records (eHRs) for performance feedback and professional development.
Qualitative research in a co-design framework. Health professionals' perceptions of the accessibility of data in eHRs, and barriers to and enablers of using these data in performance feedback and professional development were explored in co-design workshops. Audio recordings of the workshops were transcribed, de-identified, and thematically analysed.
SETTING, PARTICIPANTS: A total of nine co-design workshops were held in two major public hospitals in Sydney: three for nursing staff (ten participants), three for doctors (15 participants), and one each for information communication technology professionals (six participants), health informaticians (four participants), and allied health professionals (13 participants).
Key themes related to attitudes of participants to the secondary use of eHR data for improving health care practice.
Six themes emerged from the discussions in the workshops: enthusiasm for feeding back clinical data; formative rather than punitive use; peer comparison, benchmarking, and collaborative learning; data access and use; capturing complex clinical narratives; and system design challenges. Barriers to secondary use of eHR data included access to information, measuring performance on the basis of eHR data, and technical questions.
Our findings will inform the development of programs designed to utilise routinely collected eHR data for performance feedback and professional development.
了解卫生专业人员、卫生信息学专业人员和信息通信技术专业人员对使用电子健康记录 (eHR) 中的数据进行绩效反馈和专业发展的态度。
在共同设计框架内进行定性研究。在共同设计研讨会上探讨了卫生专业人员对 eHR 中数据可及性的看法，以及在绩效反馈和专业发展中使用这些数据的障碍和促成因素。研讨会的音频记录被转录、去识别，并进行主题分析。
地点、参与者：共在悉尼的两家主要公立医院举行了九次共同设计研讨会：护理人员三次（十名参与者），医生三次（十五名参与者），信息通信技术专业人员一次（六名参与者），卫生信息学专业人员一次（四名参与者），以及联合卫生专业人员一次（十三名参与者）。
与参与者对 eHR 数据的二次使用以改善医疗实践的态度相关的主要主题。
研讨会讨论中出现了六个主题：对反馈临床数据的热情；形成性而非惩罚性使用；同行比较、基准测试和协作学习；数据访问和使用；捕捉复杂的临床叙述；以及系统设计挑战。eHR 数据二次使用的障碍包括信息获取、基于 eHR 数据衡量绩效以及技术问题。
我们的研究结果将为旨在利用常规收集的 eHR 数据进行绩效反馈和专业发展的计划的制定提供信息。
